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Br J Nurs. 2020 Mar 12;29(5):266-272. doi: 10.12968/bjon.2020.29.5.266.

The impact of online self-management interventions on midlife adults with type 2 diabetes: a systematic review.

Author information

1
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London.

Abstract

BACKGROUND:

Online self-management education programmes are now recommended for people with type 2 diabetes to improve self-management capacities. There is limited evidence to determine whether such programmes improve the health outcomes for midlife adults with diabetes.

AIMS:

The purpose of this systematic review was to assess the impact of online self-management interventions with digital consulting on glycated haemoglobin (HbA1c), total cholesterol, blood pressure, diabetes distress, self-efficacy, and depression in midlife adults.

METHODS:

A systematic review was undertaken searching Medline, Embase and CINAHL. Studies were appraised using the Cochrane Collaboration's tool.

RESULTS:

Eight studies were included. Online interventions resulted in the improvement of HbA1c (pooled mean difference on HbA1c: -0.35%, 95% CI (-0.52, -0.18), P<0.001). A narrative synthesis was conducted for all secondary outcomes. No conclusions could be drawn on the impact of these outcomes.

CONCLUSION:

Online interventions improve HbA1c. Further research is needed for secondary outcomes.

KEYWORDS:

Glycated haemoglobin; HbA1c; Online education programmes; Patient self-management; Type 2 diabetes

PMID:
32167825
DOI:
10.12968/bjon.2020.29.5.266
[Indexed for MEDLINE]

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